Collecting and Studying Tissue Samples From Patients With HIV-Associated Malignancies

NCT ID: NCT01567722

Last Updated: 2023-03-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

114 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-01-02

Study Completion Date

2022-01-14

Brief Summary

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RATIONALE: Collecting and studying tissue samples from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer.

PURPOSE: This research trial studies collecting tissue samples from patients with HIV-related malignancies.

Detailed Description

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OBJECTIVES:

* To obtain high-quality, clinically annotated tissue from patients with human immunodeficiency virus (HIV)-1 malignancy.
* To study clinical, genetic, and immunologic parameters that have prognostic significance and/or are involved in the initiation and progression of HIV-1 malignancies, including complete genomic sequence determination of HIV-associated diffuse large B-cell lymphomas, lung cancer, anal cancer, and cervical cancer.

OUTLINE: This is a multicenter study.

Patients undergo tumor, lymph node, bone marrow, or skin biopsy, and peripheral blood mononuclear cells collection. Samples are submitted to the AIDS Malignancy Consortium (AMC) Biorepository and transferred to the AIDS and Cancer Specimen Resource (ACSR). Samples are then analyzed by the Genome Science Center of British Columbia (GSC-BC) and the HIV+ Tumor Molecular Characterization Project (HTMCP) for full genomic sequencing analysis that may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies by flow cytometry, cytogenetics, and molecular studies. Patients' clinical data, demographics, and treatment given are also collected prospectively in order to record treatment outcome and toxicity.

Patients are followed up at 6 months, 1 year, and 2 years for data-reporting purposes.

Conditions

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Lung Cancer Lymphoma

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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HIV-positive diffuse large B-cell lymphoma cases

Tissue collection for genomic sequencing from persons with a diagnosis of HIV and diffuse large B-cell lymphoma.

DNA analysis

Intervention Type GENETIC

This sample will be used for germline DNA analysis.

RNA analysis

Intervention Type GENETIC

RNA will be sheared, reverse transcribed, and sequenced to assess transcribed sequences.

gene expression analysis

Intervention Type GENETIC

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

polymorphism analysis

Intervention Type GENETIC

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

biologic sample preservation procedure

Intervention Type OTHER

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

flow cytometry

Intervention Type OTHER

Information will include HIV RNA load at time of malignancy diagnosis) and imaging tests, results of the diagnostic tumor biopsy and bone marrow biopsy, and results of flow cytometry, cytogenetics, and molecular studies.

medical chart review

Intervention Type OTHER

Participants will be followed prospectively to record the types of treatment given, and treatment outcome and toxicity.

HIV-positive lung cancer cases

Tissue collection for genomic sequencing from persons with a diagnosis of HIV and lung cancer.

DNA analysis

Intervention Type GENETIC

This sample will be used for germline DNA analysis.

RNA analysis

Intervention Type GENETIC

RNA will be sheared, reverse transcribed, and sequenced to assess transcribed sequences.

gene expression analysis

Intervention Type GENETIC

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

polymorphism analysis

Intervention Type GENETIC

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

biologic sample preservation procedure

Intervention Type OTHER

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

flow cytometry

Intervention Type OTHER

Information will include HIV RNA load at time of malignancy diagnosis) and imaging tests, results of the diagnostic tumor biopsy and bone marrow biopsy, and results of flow cytometry, cytogenetics, and molecular studies.

medical chart review

Intervention Type OTHER

Participants will be followed prospectively to record the types of treatment given, and treatment outcome and toxicity.

HIV-positive cervical cancer cases

Tissue specimen collection from HIV positive patients with a diagnosis of cervical cancer

No interventions assigned to this group

Interventions

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DNA analysis

This sample will be used for germline DNA analysis.

Intervention Type GENETIC

RNA analysis

RNA will be sheared, reverse transcribed, and sequenced to assess transcribed sequences.

Intervention Type GENETIC

gene expression analysis

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

Intervention Type GENETIC

polymorphism analysis

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

Intervention Type GENETIC

biologic sample preservation procedure

Genomic analyses performed on these samples may include, but are not limited to, array-based gene expression profiling, comparative genome hybridization, and single nucleotide polymorphism studies, as well as whole genome sequencing analysis using the most current genomic technology available.

Intervention Type OTHER

flow cytometry

Information will include HIV RNA load at time of malignancy diagnosis) and imaging tests, results of the diagnostic tumor biopsy and bone marrow biopsy, and results of flow cytometry, cytogenetics, and molecular studies.

Intervention Type OTHER

medical chart review

Participants will be followed prospectively to record the types of treatment given, and treatment outcome and toxicity.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Participants must have a diagnosis of a malignancy or clinical findings suggestive of a possible HIV-associated malignancy of one of three types:

* Diffuse large B-cell lymphoma
* Non-small cell lung malignancy
* The presence of any of the following conditions will exclude a participant from study enrollment:

* Absence of sufficient diagnostic tumor-biopsy tissue material to meet the protocol requirements for baseline specimen submission (minimum specimen size of 10 x 10 x 2 mm); repeat tumor biopsy will not be performed solely to meet the protocol specimen-collection requirements
* Participants whose biopsies, for the purpose of this protocol, show a diagnosis of anal intraepithelial neoplasia or cervical intraepithelial neoplasia
* Prior treatment for the study malignancy (including neo-adjuvants), since treatment can affect the mutational spectra of tumors
* HIV infection based on serologic documentation of HIV infection at any time prior to study entry, as evidenced by positive enzyme-linked immunosorbent assay (ELISA), positive western blot, or any other Food and Drug Administration (FDA)-approved (licensed) HIV test; alternatively, this documentation may include a record that another physician has documented that the patient has HIV based on prior ELISA and western blot, or other approved diagnostic tests

PATIENT CHARACTERISTICS:

* Participants must be willing and able to sign an IRB-approved informed consent document

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

The Emmes Company, LLC

INDUSTRY

Sponsor Role collaborator

AIDS and Cancer Specimen Resource

OTHER

Sponsor Role collaborator

University of Arkansas

OTHER

Sponsor Role collaborator

AIDS Malignancy Consortium

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lee Ratner, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Washington University Siteman Cancer Center

Locations

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Moores UCSD Cancer Center

La Jolla, California, United States

Site Status

UCLA Clinical AIDS Research and Education (CARE) Center

Los Angeles, California, United States

Site Status

George Washington University

Washington D.C., District of Columbia, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

John H. Stroger Hospital of Cook County

Chicago, Illinois, United States

Site Status

Louisiana State University Public Hospital

New Orleans, Louisiana, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Albert Einstein Cancer Center at Albert Einstein College of Medicine

The Bronx, New York, United States

Site Status

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

Site Status

University of Pennsylvania - Abramson Cancer Center at Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Harborview Madison Clinic

Seattle, Washington, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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Other Identifiers

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CDR0000729843

Identifier Type: OTHER

Identifier Source: secondary_id

U01CA121947

Identifier Type: NIH

Identifier Source: secondary_id

View Link

AMC-083

Identifier Type: -

Identifier Source: org_study_id

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